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17-10-2010 | Gynaecology | Article

Race and socioeconomic status affect IUC recommendation


Journal abstract

MedWire News: Research shows that socioeconomic status (SES) and race or ethnicity affect healthcare providers' attitudes toward recommending an intrauterine contraceptive device (IUD).

"This is an especially important area of research given the high rate of unintended pregnancy in the US," said senior author Jody Steinauer (University of California at San Francisco, USA).

"It is critical that we provide comprehensive contraceptive counseling and equitable access to highly effective long-acting reversible contraceptives such as the IUD to all women," she added.

A group of 524 healthcare providers were asked to watch one of 18 videos depicting women of varying race/ethnicity and SES, and to recommend a method of contraception based on who they saw.

Low SES women were significantly less likely to have IUDs recommended than high SES women, at 57 versus 75 percent, and black women were significantly more likely to have IUDs recommended than white women, at 75 versus 57 percent.

No differences were observed for IUD recommendation between Latina and white women.

Furthermore, low SES black and white women were significantly less likely to have been recommended an IUD compared with high SES black and white women.

Multivariate analysis confirmed the effect of SES on recommendations for white women, but the difference in recommendations for low and high SES black women lost significance.

MedWire ( is an independent clinical news service provided by Current Medicine Group, a trading division of Springer Healthcare Limited. © Springer Healthcare Ltd; 2010

By Sarah Guy